<table width="100%" border="0" cellpadding="0" cellspacing="0">
  <tr>
    <td height="20" align="left" valign="top">
      <div class="registerBlock">
        <hr />
        <span class="Bold-text">Please choose your account type</span>
        <hr />
        <table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr>
            <td width="32%" align="left" valign="top">
              <img id="regisImg" width="220" height="219" border="0" class="regisBoxTypes" id="type1" />
            </td>
            <td align="left" valign="top">
              <table id="InformationForm" width="100%" height="219" border="0" cellpadding="0" cellspacing="0">
                <tr>
                  <td height="129" align="left" valign="top">
                    <div class="regisAssignblock">
                      <span class="NormalBlack-text">Fullname</span>
                      <input id="Name_RegF" type="text" class="textbox-registerdetail" value="Your fullname" />
                      <span class="NormalBlack-text">ID</span>
                      <input id="ID_RegF" type="text" class="textbox-registerdetail" value="Your ID Number" />
                      <span class="NormalBlack-text">Medical School</span>
                      <select id="Other_RegF" name="select" class="textbox-medicschooldropdown">
     					<option value=""></option>
     					<option value="RSU">RSU</option>
     					<option value="DPU">DPU</option>
  					  </select>
                    </div>
                  </td>
                </tr>
                <tr>
                  <td align="right" valign="bottom">
                    <a id="regisButton" target="_self">Submit</a>
                  </td>
                </tr>
              </table>
            </td>
          </tr>
        </table>
      </div>
    </td>
  </tr>
</table>